胼胝体出血在脑出血中少见,尤其是以脑蛛网膜下腔出血为主要临床表现的原发性胼胝体出血迄今未见报道。现将我们收治的1例报告如下: 患者,女,44岁,职员,于3月28日晨起自觉窒息感,数秒钟后,突然炸裂样头顶部剧痛,继之颈部刺痛,持续约1分钟左右意识丧失,尿失禁,无抽搐、无呕吐。15分钟后忽然大喊大叫,胡言乱语。双眼直视,当地医院按癔病处置,静脉注射安定10mg后进入昏睡状态,2天后清醒,表情淡漠,失语,尿失禁。疑诊蛛网膜下腔出血转入我院,急诊查体:BP16/8.5kPa,P80次/分,R18次/分,T 36.4℃,轻度缄默状态,运动性失语症。无明显面舌瘫,四肢可活动,右侧:Chaddock氏征(+),颈强(+),克氏征(+),以脑蛛网膜下腔出血收入院。查体:右侧中枢性轻瘫,肌力Ⅳ级,左侧肢体肌力正常,但运用不能(不会系纽 Corpus callosum hemorrhage rare in cerebral hemorrhage, especially in patients with primary subarachnoid hemorrhage as the main clinical manifestations of the primary corpus hemorrhage has not been reported. Now we have a report of 1 case were as follows: The patient, female, 44 years old, staff, consciously suffocated on March 28, a few seconds later, suddenly burst the top of the sharp pain, followed by neck tingling, sustained About 1 minute loss of consciousness, incontinence, no convulsions, no vomiting. After 15 minutes suddenly shouted, nonsense. Binocular vision, the local hospital treatment of hysteria, intravenous stability into the 10mg after the state of lethargy, 2 days later, apathy, aphasia, urinary incontinence. Suspected subarachnoid hemorrhage into our hospital, emergency examination: BP16 / 8.5kPa, P80 beats / min, R18 beats / min, T36.4 ℃, mild silent state, exercise aphasia. No obvious tongue paralysis, limbs can be active, right: Chaddock’s sign (+), neck strength (+), Kirschner sign (+), to the brain subarachnoid hemorrhage hospital. Physical examination: the right central paresis, muscle strength grade Ⅳ, left limb muscle strength normal, but the use of can not